Have you done any Pilates class before? If yes when and for how long? *

Are you doing any exercise at the moment? If yes please list which ones and how frequently you undertake them *

What are your objectives with the Pilates class? *

Tone

Endurance

Weight Management

Shape

Flexibility

Rehabilitation

Strength

Other

Is there anything in your medical history or current circumstances not dealt with above which I should know about? *

Where did you hear about us? *

Would you like to receive our Newsletter? The Newsletter goes out roughly twice a month and is the main source of news, updates and special offers for Rachel Lawrence Pilates - we recommend signing up so you don't miss out! *

Yes

No

DISCLAIMER : I understand the various risks associated with an exercise programme and it is my desire to participate. I have not withheld any relevant information regarding my physical condition which may affect me during or following as session, and I will notify you of any other injuries that may occur. *